Chest Pain and Homoeopathy

Chest Pain and
Homoeopathy
Chest pain and Homoeopathy
Dr. Rajneesh Kumar

Sharma
MD (Homoeopathy)
Dr. Swati Vishnoi
BHMS
Dr. Mohammad
Tayyab Daud BHMS
Dr. Mohammad
Chest
Tayyab Amir BHMS
Dr. Sunil Singh BHMS
Dr. Shabnam Jahan
Pain and Homoeopathy BHMS
Dr. Rajneesh Kumar Sharma MD (Homoeopathy)
Dr. Swati Vishnoi BHMS
Dr. Mohammad Tayyab Daud BHMS
Dr. Mohammad Tayyab Amir BHMS
Dr. Sunil Singh BHMS
Dr. Shabnam Jahan BHMS
Homoeo Cure Research Institute
NH 74- Moradabad Road
Kashipur (UTTARANCHAL) - INDIA
Ph- 09897618594
E. mail- drrajneeshhom@hotmail.com
www.treatmenthomeopathy.com
www.homeopathyworldcommunity.com
Contents
Cardiac Causes..............................................................................................................2
Acute coronary syndrome..........................................................................................3
Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

Homoeopathic remedies.........................................................................................3
Unstable angina.........................................................................................................3
Myocardial infarction..................................................................................................4
Prinzmetals angina....................................................................................................4
Acute pericarditis.......................................................................................................4
Dissection of the thoracic aorta.................................................................................5
Aortic stenosis............................................................................................................6
Syndrome X................................................................................................................6
Pulmonary Causes.........................................................................................................7
Pulmonary embolism.................................................................................................7
Pleurisy......................................................................................................................8
Pneumothorax............................................................................................................8
Gastrointestinal Causes................................................................................................8
Musculoskeletal Causes................................................................................................9
Psychiatric Causes........................................................................................................9
Homoeopathic remedies.......................................................................................10

Conclusion...................................................................................................................10
Bibliography................................................................................................................10
In day to day clinical practice, chest pain appears as a very common symptom.
Often, it becomes very difficult to recognize whether it is of importance in evaluation
or to be ignored. In this article, major causes and differential diagnosis of chest pain
along with corresponding remedies is discussed.
The main causes for chest pain include the following-
Cardiac Causes
Cardiac causes must be evaluated with ECG, Echocardiography and chest X Ray. CK
MB, Troponin and other markers. Computed tomography of the chest, MRI,
transesophageal echocardiography, and aortic root angiography all have a high
sensitivity and specificity for detection of a dissection or minor anomalies.
Acute coronary syndrome

This is the most common cause.
Ischemic chest pain classically presents as substernal pressure, tightness, or
heaviness with radiation to the jaw, shoulders, back, or arms. (Psora)
The pain is typically worse on exertion and better by rest. (Psora)
Concomitants may be dyspnoea, diaphoresis, and nausea. (Psora)
Homoeopathic remedies
acon. Agar. allox. alum. ant-t. ap-g. apis aq-mar. Arg-n. ars. asc-t. aster. AUR-M. AUR.
aza. bamb-a. bar-c. bry. cact. camph. carc. Card-m. caust. cham. Chel. chin. Cimx.
con. cystein-l. Dios. dream-p. dulc. Eup-per. Euphr. ferr. fuma-ac. helo-s. iber. ind. iod.

jug-r. kali-bi. kali-n. kali-p. Kalm. kreos. lac-h. lact-v. led. lob. merc. mez. mim-p.
morph. mosch. mur-ac. nat-c. nit-ac. nit-s-d. osm. ox-ac. ph-ac. phel. phos. plac.
polys. psor. puls. pyrid. pyrog. Ran-b. Ran-s. rhus-t. Rumx. ruta samb. Sang. sangin-n.
sel. SENEG. sep. Sil. spig. spong. stroph-s. sulph. symph. Syph. tarent. tax. ter. ther.
tril-p. vanil. Verat. zinc.
Unstable angina
Recent onset or increasing symptoms of chest discomfort occurring at rest
without elevation of biomarkers (e.g., creatine kinase and troponin) is called
unstable angina. (Psora)
Diabetics, women, or the elderly may present with different symptoms, such
as dyspnoea without chest pain. (Psora/ Syphilis)
acet-ac. acetylch-m. Acon. acon-ac. adren. Agar. AM-C. Aml-ns. anac. ang. APIS arg-
col. arg-cy. ARG-N. ARN. ARS. ars-i. asaf. asar. Asim. AUR. AUR-M. Bar-m. bell. bism.
CACT. calc-hp. camph. Carb-v. carneg-g. caust. cere-b. Chel. chim-m. chin. CHININ-
AR. Chinin-s. chlol. chr-ac. chr-o. Cimic. cit-ac. coca cocain. conv. crat. crot-h. crot-t.
Cupr. cupr-act. Cupr-ar. des-ac. Dig. Dios. diph. diphtox. elaps foll. form-ac. fuma-ac.
gels. germ-met. glon. haem. Hep. hist. Hydr-ac. ign. iod. ip. Jug-c. Kali-c. kali-i. kali-n.
kali-p. Kalm. kola Lach. lact. lact-v. LAT-M. Laur. lil-t. Lith-c. lith-met. lob. Lyc. lycps-v.
Mag-p. magn-gr. mal-ac. MED. merc. morg-g. morg-p. morph. Mosch. mucor NAJA
nat-i. nat-n. nat-ns. nat-pyru. Nux-v. olnd. OX-AC. penic. petr. PHOS. phyt. pip-n. pitu-
gl. plb. prot. prun. psor. RHUS-T. sacch-l. Samb. samb-c. saroth. scarl. scol. sep. SPIG.
spir-aeth-c. SPONG. squil. staph. stict. Stram. stront-c. stront-i. stry. sulph. Syph. Tab.
Tarent. thala. Ther. thuj. thyr. Verat. verat-v. verb. vib. wies. Zinc. zinc-val.
Myocardial infarction
Ischemic chest pain typically lasts less than 20 minutes; pain of longer
duration suggests myocardial infarction etc. (Psora/ Sycosis/ Syphilis)
The cardinal features of myocardial infarction are chest pain that radiates to
both arms and hypotension. (Psora/ Syphilis)
With a normal electrocardiogram, positional chest pain, chest pain reproduced
by palpation or chest pain that is sharp or stabbing makes ischemic etiology
less probable. (Psora)

am-c. ars. cimic. crot-h. hist. lach. lat-m. Naja parathyr. tab.
Prinzmetals angina
Coronary artery vasospasm, called Prinzmetals angina typically presents as
rest pain, similar to angina. (Psora)
It may be associated with ST-segment elevation on the resting
electrocardiogram. (Psora/ Syphilis)
Cocaine use can cause chest pain and ST segment changes due to ischemia
or secondary to vasospasm without evidence of direct myocardial injury.
(Causa ocassionalis)
agar. haem. lat-k. Lat-m.
Acute pericarditis
Acute pericarditis may be preceded or accompanied by symptoms of an upper
respiratory tract infection and fever. (Psora/ Sycosis)
Pericarditis is characterized by sudden onset of sharp, stabbing substernal
chest pain with radiation along the trapezius ridge. (Psora/ Sycosis)
The pain is often worse with inspiration and lying flat. (Psora)
Friction rub is frequently present at some time during its course. (Psora/
Sycosis)
The classic rub consists of three components- atrial systole, ventricular
systole, and diastole. (Psora/ Sycosis)
A confirmatory electrocardiogram shows diffuse ST-segment elevation and PR-
segment depression, findings that are specific but not sensitive. (Psora/
Syphilis)
An echocardiogram differentiates significant pericardial effusion or pericardial
tamponade. (Psora/ Sycosis)

ACON. adon. anac. ant-ar. Ant-t. Apis apoc. ARS. Ars-i. ars-s-f. Asc-t. aur. bell. Bry.
Cact. cann-s. canth. carb-v. chlor. Cimic. Colch. Dig. eberth. franc. Iod. kali-ar. Kali-c.
kali-chl. Kali-i. Kalm. Lach. lycps-v. magn-gr. Merc. Merc-c. naja nat-m. ox-ac. phase.
phase-xyz. plat. PSOR. seneg. SPIG. Spong. squil. staphycoc. streptoc. SULPH. Verat.
Verat-v.
Dissection of the thoracic aorta
The dissection of the thoracic aorta typically present with abrupt onset of
severe, sharp, or tearing chest pain often radiating to the abdomen, or back
pain. (Psora/ Syphilis)
Aortic dissection can be associated with syncope due to decreased cardiac
output, stroke, and myocardial infarction caused by carotid and coronary
artery occlusion/dissection, cardiac tamponade, and sudden death due to
rupture of the aorta. (Psora/ Sycosis/ Syphilis)
Hypertension is present in 50% of patients. (Psora/ Sycosis)
A pulse differential (diminished pulse compared with contralateral side) on
palpation of the carotid, radial, or femoral arteries is one of the most useful
findings. (Psora/ Syphilis)
An early diastolic murmur due to acute aortic insufficiency may be heard,
particularly if the dissection involves the ascending aorta. (Psora/ Syphilis)
The presence or absence of a diastolic murmur is not useful in ruling in or
ruling out dissection.
A wide mediastinum on a chest radiograph is the most common initial finding.
(Psora/ Sycosis)
Computed tomography of the chest, MRI, transesophageal echocardiography,
and aortic root angiography all have a high sensitivity and specificity for
detection of a dissection flap.
Homoeopathy is often wonderful in cases of threatening aortic dissection as
well as in minor ones but in extended or established cases, vascular surgery
may be indicated.

acon. Phos. Sep. thuj.
Aortic stenosis
Aortic stenosis is a cause of exertional chest pain and may be also
accompanied by dyspnoea, palpitations, and exertional syncope due to a
diminished cardiac output. (Psora/ Sycosis/ Syphilis)
Physical examination reveals a systolic, crescendo-decrescendo murmur best
heard at the second right intercostal space with radiation to the carotids.
(Psora/ Sycosis)
A transthoracic echocardiogram is the diagnostic test of choice for suspected
aortic stenosis.
acon. Adon. agar. Aml-ns. ant-t. Apis apoc. Ars-i. Ars. aspar. aur-br. aur-i. Aur-m. aur.
Bar-c. CACT. calc-f. calc. camph. carb-ac. Chel. chinin-ar. Cocc. Colch. coll. Conv. crat.
Crot-h. cupr-s. Cycl. Dig. ferr-ar. ferr-i. FERR. Glon. helo-s. hep. hydr-ac. Hydr. iber.
IGN. iod. ip. kali-ar. kali-br. Kali-c. KALM. kreos. Lach. lat-m. laur. lith-c. lob. Lyc. Lycps-
eu. lycps-v. Merc. NAJA nat-ar. nat-c. Nat-m. Nit-ac. nux-v. onos. ox-ac. Phos. plb.
Psor. Puls. RHUS-T. sang. sep. SPIG. SPONG. stann. stram. Stroph-h. Sumb. tab.
Tarent. Tell. thuj. thyr. toxo-g. tub. vanil.
Syndrome X
Syndrome X is a cause of angina-like chest pain in young women. (Psora)
It is characterized by angina symptoms, ST-segment depression on exercise
testing, and normal coronary arteries on angiography. (Psora/ Syphilis)
The etiology of the pain is unknown, but there is a strong correlation with
psychiatric disorders. (Psora/ Syphilis)

kola mand. thuj.
Pulmonary Causes
Pulmonary causes of chest pain are initially evaluated with a chest x-ray. In patients
with dyspnoea, pulse oximetry or an arterial blood gas analysis is indicated. In the
setting of moderate to high suspicion for pulmonary embolism, a helical CT scan of
the chest or a ventilation/perfusion lung scan with or without duplex Doppler
examination of lower extremities is an appropriate initial approach. A negative D-
dimer helps exclude the diagnosis of pulmonary embolism and is most helpful when
the clinical suspicion is low.
Pulmonary embolism
Pulmonary embolism may present with acute pleuritic chest pain, dyspnoea,
and, less often, cough and hemoptysis. (Psora/ Sycosis)
The presence of risk factors for pulmonary embolism such as recent surgery,
immobilization, history of previous venous thromboembolism and malignancy
may suggest the diagnosis. (Causa ocassionalis)
Physical examination findings are nonspecific but may include tachycardia,
tachypneic, and wheezing. (Psora)
A right-sided S3 and a right ventricular heave may be present if there is acute
right heart failure secondary to pulmonary hypertension. (Psora/ Syphilis)
both.

Pleurisy
Pleuritic chest pain can also be a manifestation of pneumonia and often is
associated with fever, chills, cough, purulent sputum, and dyspnoea. (Psora/
Sycosis/ Syphilis)
The physical examination may show wheezing or crackles and signs of
consolidation such as dullness to percussion, egophony, and bronchophony.
(Psora/ Sycosis/ Syphilis)
Ant-ar. Kali-i. tub.
Pneumothorax
Sudden onset of pleuritic chest pain and dyspnoea may be a sign of
pneumothorax. (Psora/ Syphilis)
The physical examination may show decreased breath sounds on the affected
side. (Syphilis)
If a tension pneumothorax is present, hypotension and tracheal deviation to
the opposite side of the pneumothorax can be seen. (Causa ocassionalis)
acon-f. arn. chlorpr.
Gastrointestinal Causes
A strict clinical examination of the patient and minor investigations may confirm the
gastrointestinal causes of chest pains.
These can mimic ischemic chest pain. (Psora)

Main differences include pain lasting minutes to hours and resolving either
spontaneously or with antacids. (Psora)
Discomfort associated with reflux is often positional, worse when lying down
and after meals, or awakens patients from sleep. (Psora)

Other symptoms may include heartburn, regurgitation, chronic cough, sore

throat, and hoarseness. (Psora)
On physical examination, patients may exhibit wheezing, halitosis, dental
erosions, and pharyngeal erythema. (Psora)
alum-p. alum. alumn. am-c. anag. ant-c. Arg-n. Arn. Asaf. aspar. bell. bry. calc. caps.
carb-v. caust. chel. CHIN. cimic. con. cupr. kali-c. kali-n. lac-h. lach. laur. lyc. mag-m.
mez. nat-c. nux-v. petr. phos. plb. psor. puls. Ran-b. seneg. Sil. spong. sulph. sumb.
thuj. tritic-vg. vanil. verat. zinc.
Musculoskeletal Causes
For musculoskeletal chest pain, the history and physical examination are keys to the
diagnosis. Selected x-rays and laboratory tests may be indicated.
These are more common in women than men.
Common causes include costochondritis, arthritis, and fibromyalgia. (Psora/
Sycosis/ Syphilis)
Musculoskeletal chest pain has an insidious onset and may last for hours to
weeks.
It is most recognizable when sharp and localized to a specific area of the
chest; however, it can also be poorly localized. (Psora)
The pain may be worsened by turning, deep breathing, or arm movement.
(Psora)
This type of chest pain may or may not be reproducible by chest palpation
(pain reproduced by palpation does not exclude ischemic heart disease), and
the cardiovascular exam is often normal.
The presence of tender points in the upper chest increases the likelihood of
fibromyalgia. (Psora/ Sycosis/ Syphilis)
cupr. hydr-ac.

Psychiatric Causes
In absence of any positive laboratory investigation, psychiatric evaluation may
confirm the psychogenic cause of chest pains.
Chest pain can also be a manifestation of severe anxiety and panic attack.
(Psora)
Symptoms include sweating, trembling, or shaking, sensations of choking,
shortness of breath or smothering, nausea or abdominal distress, or feeling
dizzy, unsteady, or lightheaded. (Psora)
On physical examination, tachycardia and tachypnea may be present, but the
remainder of the cardiovascular and pulmonary exam is unremarkable.
(Psora)
aconin. bell-p-sp. cact. Lil-t. Mosch. nux-v. tarent.
Conclusion
The chest pain is very common sign we happen to face in our daily practice. Not all
the cases of chest pain are critical, but we cannot ignore its existence. A simple
chest pain caused due to underlying major cause tends to become fatal. All the
needful investigations must urgently be carried out and diagnosis of chest pain must
be confirmed as an emergency. Only after correct and timely diagnosis, the
prognosis, plan of treatment and further management can be done to save the life.
Homoeopathy being holistic in approach, has the most effective and fastest curing
powers, and must be applied very skillfully for assuring sure shot cure.
Bibliography
Addressing Chest Pain in Older Adults Current Diagnosis & Treatment:

Geriatrics
Basic Chest Radiography (CXR) > EVALUATION OF CHEST PAIN AND/OR

DYSPNEA Principles and Practice of Hospital Medicine, 2e ... Commonly, chest
radiographs are urgently ordered to evaluate causes of chest pain and to look for

complications such as asymptomatic pulmonary edema in the setting of myocardial

ischemia. Although the chest radiograph may be normal despite a life-threatening
condition, such as an aortic...
Chapter 14. Chest Pain > Chest Pain Unit CURRENT Diagnosis & Treatment
Emergency Medicine, 7e ... An emerging method of evaluation of chest pain in the
Emergency Department is the Chest Pain Unit. Various structures can be utilized, but
most are protocol-driven observation units intending to screen low risk patients for
cardiac origin of chest pain. Often located in the ED proper, the Chest...
Chapter 21. Nuclear Cardiology > Evaluation of Acute Chest Pain Hurst's The
Heart, 13e ... subsequently are ruled out for acute ischemic syndromes, chest pain
units have been instituted for the acute evaluation of chest pain patients presenting
to the ED. SPECT MPI with 99m Tc -sestamibi or 99m Tc-tetrofosmin, with injection
during chest pain, provides an excellent opportunity to reduce...
Chapter 27. Chest Pain The Patient History: An Evidence-Based Approach to

Differential Diagnosis
Chest Discomfort > OUTPATIENT EVALUATION OF CHEST DISCOMFORT

Harrison's Principles of Internal Medicine ... of the Patient with Chest Discomfort 1.
Could the chest discomfort be due to an acute, potentially life-threatening condition
that warrants urgent evaluation and management? Unstable ischemic heart disease
Aortic dissection Pneumothorax Pulmonary embolism 2...
Chest Pain Symptom to Diagnosis: An Evidence-Based Guide, 3e
Encyclopedia Homoeopathica
Gastrointestinal Disorders > CHEST PAIN OF UNDETERMINED ORIGIN Current

Medical Diagnosis & Treatment 2017 ... One-third of patients with chest pain undergo
negative cardiac evaluation. Patients with recurrent noncardiac chest pain thus pose
a difficult clinical problem. Because coronary artery disease is common and can
present atypically, it must be excluded prior to evaluation for other causes...

Low-Probability Acute Coronary Syndrome > COCAINE-ASSOCIATED CHEST PAIN

Tintinallis Emergency Medicine: A Comprehensive Study Guide, 8e ... In a study of
130 patients with cocaine-associated myocardial infarction, the mean age was 38
years. AMI occurs in approximately 6% of patients who present to the ED with chest
pain after cocaine use. The initial evaluation of the patient with cocaine-associated
chest pain is the same as outlined...
Noninvasive Cardiac Imaging: Echocardiography, Nuclear Cardiology, and

Magnetic Resonance/Computed Tomography Imaging > Testing Strategy
Considerations in Patients Presenting with Chest Pain to the Emergency Department
Harrison's Principles of Internal Medicine ... presentations represent an acute
coronary syndrome (ACS). Strategies used in the evaluation of these patients include
novel cardiac biomarkers (e.g., serum troponins), conventional stress testing (ETT),
and noninvasive cardiac imaging. It is generally accepted that the primary goal of
this evaluation...
NUCLEAR CARDIOLOGY > Evaluation of Patients with Acute Chest Pain Hurst's
The Heart, 14e ... Almost 8 million individuals are evaluated each year for acute
chest pain in the emergency department (ED). 307 Despite standardized protocols
and high vigilance, between 2% and 6% of patients are erroneously discharged with
missed MI, 308 with higher mortality rates than patients who...
Oropharyngeal & Esophageal Motility Disorders > A. Chest Pain of Unknown

Origin CURRENT Diagnosis & Treatment: Gastroenterology, Hepatology, &
Endoscopy, 3e ... Patients in whom the initial evaluation does not yield a cause are
identified as having CPUO. The first step in the evaluation of a patient with CPUO is
to carefully exclude coronary artery disease because of the life-threatening nature of
cardiac chest pain. This may require coronary...
Radar 10
The Screening Physical Examination > Chest pain and shortness of breath
DeGowins Diagnostic Examination, 10e ... The chest can be evaluated for pleural
effusion and the lung for interstitial pulmonary edema. The heart can be assessed for
systolic function, pericardial effusion, and signs of right ventricular strain. ...

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Chest Pain and

Dr. Rajneesh Kumar

Acute coronary syndrome..........................................................................................3

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

Dissection of the thoracic aorta.................................................................................5

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

The main causes for chest pain include the following-

Acute coronary syndrome

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

These can mimic ischemic chest pain. (Psora)

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

Other symptoms may include heartburn, regurgitation, chronic cough, sore

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

Addressing Chest Pain in Older Adults Current Diagnosis & Treatment:

Basic Chest Radiography (CXR) > EVALUATION OF CHEST PAIN AND/OR

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

complications such as asymptomatic pulmonary edema in the setting of myocardial

Chapter 27. Chest Pain The Patient History: An Evidence-Based Approach to

Chest Discomfort > OUTPATIENT EVALUATION OF CHEST DISCOMFORT

Chest Pain Symptom to Diagnosis: An Evidence-Based Guide, 3e

Gastrointestinal Disorders > CHEST PAIN OF UNDETERMINED ORIGIN Current

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

Low-Probability Acute Coronary Syndrome > COCAINE-ASSOCIATED CHEST PAIN

Noninvasive Cardiac Imaging: Echocardiography, Nuclear Cardiology, and

Oropharyngeal & Esophageal Motility Disorders > A. Chest Pain of Unknown

Dr. Rajneesh Kumar Sharma MD (Homoeopathy) 11

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